Organization Name: | INFINITY SURGERY CENTER LLC |
NPI Number: | 1528420601 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAILASH RAM KEDIA (PRESIDENT) |
Mailing Address: | 10500 Antenucci Blvd 102 Garfield Hts |
State: | OH US |
Postal Code: | 44125 |
Phone Number: | 2165980401 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2016 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |